Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Intermountain Health Sanpete Valley Hospital

1100 S MEDICAL DR, Mount Pleasant, UT 84647

CMS Overall Rating No CMS Rating

How this hospital's prices compare 111 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 111 shoppable procedures, Intermountain Health Sanpete Valley Hospital typically charges about the fair BaseRate for the procedures it prices. 33 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Gallbladder removal (laparoscopic) fair $1,377 → $8,709 6.3×
Knee arthroscopy with meniscus repair fair $1,328 → $6,225 4.7×
Upper endoscopy with biopsy fair $725 → $1,930 2.7×

How we calculate the BaseRate →

Intermountain Health Sanpete Valley Hospital publishes prices for 114 shoppable procedures in Mount Pleasant, UT. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 18 Beds Teaching Status: Non-Teaching Annual Discharges: 377

Patient Experience

Recommendation Rate: 77% High Patient Rating: 80% ER Wait Time (Med): 113 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 114 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Intermountain Health Sanpete Valley Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,709	$1,377	6.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,225	$1,328	4.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,930	$725	2.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,794	$1,453	$652	2.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,182	$1,884	2.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,433	$1,036	$572	1.8×
X-ray, chest (single view) CPT Code: `71045`	$272	$197	$118	1.7×
X-ray, chest (two views) CPT Code: `71046`	$322	$197	$119	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,963	$1,942	$1,200	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$84	$53	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,574	$805	$508	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,808	$934	$629	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,214	$1,206	$816	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,355	$533	$373	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,567	$1,064	$749	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,644	$533	$384	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$697	$339	$245	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$537	$339	$250	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,010	$805	$598	1.3×
Ultrasound, pelvis CPT Code: `76856`	$522	$339	$253	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,631	$1,064	$799	1.3×
CT scan, sinuses CPT Code: `70486`	$1,392	$533	$402	1.3×
CT scan, pelvis CPT Code: `72192`	$1,824	$533	$408	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,863	$533	$411	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,719	$1,401	$1,097	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,645	$533	$440	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$524	$339	$285	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,327	$2,072	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$2,572	$2,346	1.1×
Orthotic fitting and training CPT Code: `97760`	$90	$47	$43	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$695	$213	$197	1.1×
Prosthetic fitting and training CPT Code: `97761`	$78	$40	$37	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$92	$33	$31	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$95	$36	$34	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$72	$30	$28	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$320	$75	$72	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$108	$32	$31	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$94	$33	$32	1.0×
Drug screening test HCPCS Code: `G0480`	$100	$114	$113	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$621	$245	$246	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$45	$14	$14	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$31	$31	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$251	$76	$77	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$176	$133	$135	1.0×
Typhoid vaccine HCPCS Code: `90675`	$1,020	$355	$362	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$251	$120	$124	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$117	$37	$39	0.9×
Physical therapy (gait training) CPT Code: `97116`	$97	$29	$31	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$160	$171	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$251	$94	$101	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,897	$128	$138	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$136	$153	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$94	$26	$31	0.8×
Breast lump removal CPT Code: `19120`	—	$608	$744	0.8×
Rabies immune globulin HCPCS Code: `90375`	$4,792	$278	$342	0.8×
Blood test, vitamin D CPT Code: `82306`	$124	$30	$38	0.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$33	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$28	$36	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$237	$93	$120	0.8×
Family therapy session CPT Code: `90847`	—	$98	$131	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$85	$120	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$18	0.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$124	$4	$7	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$4	$7	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$19	$34	0.6×
Blood test, sodium CPT Code: `84295`	$100	$5	$9	0.5×
Blood test, potassium CPT Code: `84132`	$83	$5	$9	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$61	$14	$26	0.5×
Psychological testing evaluation CPT Code: `96136`	—	$32	$60	0.5×
Blood test, vitamin B12 CPT Code: `82607`	$68	$15	$29	0.5×
Blood test, calcium CPT Code: `82310`	$39	$5	$10	0.5×
Psychological testing by technician CPT Code: `96138`	—	$32	$63	0.5×
Hepatitis C antibody test CPT Code: `86803`	$67	$14	$28	0.5×
Blood test, magnesium CPT Code: `83735`	$40	$7	$14	0.5×
Blood test, hemoglobin CPT Code: `85018`	$81	$2	$4	0.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$151	$5	$10	0.5×
Blood test, lipase CPT Code: `83690`	$40	$7	$14	0.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$10	$20	0.5×
Inguinal hernia repair CPT Code: `49505`	—	$412	$866	0.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$417	$877	0.5×
X-ray, ankle CPT Code: `73610`	$361	$35	$76	0.5×
Culture, bacterial CPT Code: `87070`	$111	$9	$20	0.4×
X-ray, shoulder CPT Code: `73030`	$371	$33	$75	0.4×
X-ray, foot CPT Code: `73630`	$360	$33	$76	0.4×
X-ray, hand CPT Code: `73130`	$351	$35	$81	0.4×
Blood test, amylase CPT Code: `82150`	$40	$6	$14	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,338	$201	$471	0.4×
Culture, blood CPT Code: `87040`	$109	$10	$26	0.4×
Group therapy session CPT Code: `90853`	$83	$25	$70	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,139	$89	$261	0.3×
X-ray, hip CPT Code: `73502`	$728	$34	$120	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$373	$27	$114	0.2×
X-ray, lower back CPT Code: `72110`	$463	$37	$166	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	—	$9	—
Hospital observation (per hour) HCPCS Code: `G0378`	$104	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$96	—	$45	—
Blood antibody screen CPT Code: `86850`	$63	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	—	$53	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$82	—	$61	—
Injection procedure for pain management HCPCS Code: `G0260`	$1,449	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$41	—	$48	—
Blood test, thyroid (TSH) CPT Code: `84443`	$75	—	$56	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$164	—	$49	—
Trauma team activation HCPCS Code: `G0390`	$3,595	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$234	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	—	$15	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$58	—	$31	—
X-ray, pelvis CPT Code: `72170`	$277	—	$102	—
Blood test, liver function panel CPT Code: `80076`	$40	—	$35	—
Blood transfusion CPT Code: `36430`	$899	—	$260	—
Blood test, clotting time (PTT) CPT Code: `85730`	$20	—	$24	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$60	—	$59	—